Trial Outcomes & Findings for Perioperative Palliative Care Surrounding Cancer Surgery for Patients & Their Family Members (NCT NCT03611309)
NCT ID: NCT03611309
Last Updated: 2026-01-08
Results Overview
Patient quality of life will be measured by the Functional Assessment of Chronic Illness Therapy Palliative care subscale (FACIT-PAL). FACIT-PAL is a compilation of general questions divided into four primary QOL domains: Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, and Functional Well-Being. FACIT-PAL has 46 item self report measure. The range is from 0-184 for the FACIT-PAL. A higher score is a better outcome.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
379 participants
Primary outcome timeframe
Up to 12 weeks after surgery
Results posted on
2026-01-08
Participant Flow
20 patients were discovered to have improperly filled out consents and could not be contacted to correct consent. The site's IRB determined that these patients be unenrolled from the study and that any data collected not be used.
Participant milestones
| Measure |
Surgeon-palliative Care Team Co-management (Intervention)
In the Surgeon-palliative care team co-management arm, all patients receive the surgical care of surgeon alone management, which includes surgeon and the surgical team. In addition to this surgeon alone care, palliative care will also be provided by a specialist team. For patients in this arm, patients and/or family members will be seen by the palliative care team: (1) in an outpatient setting prior to surgery, (2) in the hospital within 72 hours of their initial surgery and as needed afterwards, and (3) via phone on in-clinic (per patient preference) on an at least monthly basis and/or as needed for 12 weeks following surgery.
Surgeon-palliative care team co management: Surgeon-palliative care team co management includes surgeon alone care and palliative care specialist team
|
Surgeon Alone Management (Control)
The surgeon and surgical team will manage symptoms, psychosocial support, and prognostic related communication. The surgeon and surgical team care for the patient and their family both prior to and following surgery. The surgeon team is given guidelines published by the National Cancer Coalition Network as to when palliative care specialist consultation is recommended
Surgeon team alone management: The surgeon and surgical team will manage
|
|---|---|---|
|
Overall Study
STARTED
|
182
|
177
|
|
Overall Study
COMPLETED
|
161
|
162
|
|
Overall Study
NOT COMPLETED
|
21
|
15
|
Reasons for withdrawal
| Measure |
Surgeon-palliative Care Team Co-management (Intervention)
In the Surgeon-palliative care team co-management arm, all patients receive the surgical care of surgeon alone management, which includes surgeon and the surgical team. In addition to this surgeon alone care, palliative care will also be provided by a specialist team. For patients in this arm, patients and/or family members will be seen by the palliative care team: (1) in an outpatient setting prior to surgery, (2) in the hospital within 72 hours of their initial surgery and as needed afterwards, and (3) via phone on in-clinic (per patient preference) on an at least monthly basis and/or as needed for 12 weeks following surgery.
Surgeon-palliative care team co management: Surgeon-palliative care team co management includes surgeon alone care and palliative care specialist team
|
Surgeon Alone Management (Control)
The surgeon and surgical team will manage symptoms, psychosocial support, and prognostic related communication. The surgeon and surgical team care for the patient and their family both prior to and following surgery. The surgeon team is given guidelines published by the National Cancer Coalition Network as to when palliative care specialist consultation is recommended
Surgeon team alone management: The surgeon and surgical team will manage
|
|---|---|---|
|
Overall Study
Lost to Follow-up
|
16
|
8
|
|
Overall Study
Withdrawal by Subject
|
5
|
5
|
|
Overall Study
Physician Decision
|
0
|
2
|
Baseline Characteristics
Participants that reported their age are included in the analysis
Baseline characteristics by cohort
| Measure |
Surgeon-palliative Care Team Co-management (Intervention)
n=182 Participants
In the Surgeon-palliative care team co-management arm, all patients receive the surgical care of surgeon alone management, which includes surgeon and the surgical team. In addition to this surgeon alone care, palliative care will also be provided by a specialist team. For patients in this arm, patients and/or family members will be seen by the palliative care team: (1) in an outpatient setting prior to surgery, (2) in the hospital within 72 hours of their initial surgery and as needed afterwards, and (3) via phone on in-clinic (per patient preference) on an at least monthly basis and/or as needed for 12 weeks following surgery.
Surgeon-palliative care team co management: Surgeon-palliative care team co management includes surgeon alone care and palliative care specialist team
|
Surgeon Alone Management (Control)
n=177 Participants
The surgeon and surgical team will manage symptoms, psychosocial support, and prognostic related communication. The surgeon and surgical team care for the patient and their family both prior to and following surgery. The surgeon team is given guidelines published by the National Cancer Coalition Network as to when palliative care specialist consultation is recommended
Surgeon team alone management: The surgeon and surgical team will manage
|
Total
n=359 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
64.57 years
STANDARD_DEVIATION 10.90 • n=181 Participants • Participants that reported their age are included in the analysis
|
64.72 years
STANDARD_DEVIATION 10.40 • n=176 Participants • Participants that reported their age are included in the analysis
|
64.66 years
STANDARD_DEVIATION 54.02 • n=357 Participants • Participants that reported their age are included in the analysis
|
|
Sex/Gender, Customized
Male
|
109 Participants
n=182 Participants
|
85 Participants
n=177 Participants
|
194 Participants
n=359 Participants
|
|
Sex/Gender, Customized
Female
|
73 Participants
n=182 Participants
|
90 Participants
n=177 Participants
|
163 Participants
n=359 Participants
|
|
Sex/Gender, Customized
Unknown
|
0 Participants
n=182 Participants
|
2 Participants
n=177 Participants
|
2 Participants
n=359 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
23 Participants
n=182 Participants
|
18 Participants
n=177 Participants
|
41 Participants
n=359 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
159 Participants
n=182 Participants
|
157 Participants
n=177 Participants
|
316 Participants
n=359 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=182 Participants
|
2 Participants
n=177 Participants
|
2 Participants
n=359 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
5 Participants
n=182 Participants
|
2 Participants
n=177 Participants
|
7 Participants
n=359 Participants
|
|
Race (NIH/OMB)
Asian
|
4 Participants
n=182 Participants
|
9 Participants
n=177 Participants
|
13 Participants
n=359 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
1 Participants
n=182 Participants
|
0 Participants
n=177 Participants
|
1 Participants
n=359 Participants
|
|
Race (NIH/OMB)
Black or African American
|
11 Participants
n=182 Participants
|
16 Participants
n=177 Participants
|
27 Participants
n=359 Participants
|
|
Race (NIH/OMB)
White
|
145 Participants
n=182 Participants
|
136 Participants
n=177 Participants
|
281 Participants
n=359 Participants
|
|
Race (NIH/OMB)
More than one race
|
2 Participants
n=182 Participants
|
1 Participants
n=177 Participants
|
3 Participants
n=359 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
14 Participants
n=182 Participants
|
13 Participants
n=177 Participants
|
27 Participants
n=359 Participants
|
|
Region of Enrollment
United States
|
182 Participants
n=182 Participants
|
177 Participants
n=177 Participants
|
359 Participants
n=359 Participants
|
PRIMARY outcome
Timeframe: Up to 12 weeks after surgeryPatient quality of life will be measured by the Functional Assessment of Chronic Illness Therapy Palliative care subscale (FACIT-PAL). FACIT-PAL is a compilation of general questions divided into four primary QOL domains: Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, and Functional Well-Being. FACIT-PAL has 46 item self report measure. The range is from 0-184 for the FACIT-PAL. A higher score is a better outcome.
Outcome measures
| Measure |
Surgeon-palliative Care Team Co-management
n=152 Participants
In the Surgeon-palliative care team co-management arm, all patients receive the surgical care of surgeon alone management, which includes surgeon and the surgical team. In addition to this surgeon alone care, palliative care will also be provided by a specialist team. For patients in this arm, patients and/or family members will be seen by the palliative care team: (1) in an outpatient setting prior to surgery, (2) in the hospital within 72 hours of their initial surgery and as needed afterwards, and (3) via phone on in-clinic (per patient preference) on an at least monthly basis and/or as needed for 12 weeks following surgery.
Surgeon-palliative care team co management: Surgeon-palliative care team co management includes surgeon alone care and palliative care specialist team
|
Surgeon Alone Management
n=147 Participants
The surgeon and surgical team will manage symptoms, psychosocial support, and prognostic related communication. The surgeon and surgical team care for the patient and their family both prior to and following surgery. The surgeon team is given guidelines published by the National Cancer Coalition Network as to when palliative care specialist consultation is recommended
Surgeon team alone management: The surgeon and surgical team will manage
|
|---|---|---|
|
Patient Quality of Life Patient Quality of Life 12 Weeks After Surgery
|
138.54 score on a scale
Standard Deviation 28.28
|
136.90 score on a scale
Standard Deviation 28.96
|
SECONDARY outcome
Timeframe: Up to 12 weeks after surgeryPopulation: Participants with available survey data
Patient symptoms were measured using the Patient-Reported Outcomes Measurement Information System (PROMIS-29) version 2.1. PROMIS-29 survey questions were each rated on a 5-point Likert scale (range: 1 to 5, higher scores represent a better outcome). Item responses were converted to PROMIS T-scores per the PROMIS scoring manual (population mean = 50, SD = 10). T-scores were then converted to standardized z-scores using the formula (T-score - 50) / 10. Composite physical and mental health z-scores were calculated using weighted domain z-scores. Higher z-scores indicate better outcomes, and negative z-scores indicate scores below the population reference mean.
Outcome measures
| Measure |
Surgeon-palliative Care Team Co-management
n=144 Participants
In the Surgeon-palliative care team co-management arm, all patients receive the surgical care of surgeon alone management, which includes surgeon and the surgical team. In addition to this surgeon alone care, palliative care will also be provided by a specialist team. For patients in this arm, patients and/or family members will be seen by the palliative care team: (1) in an outpatient setting prior to surgery, (2) in the hospital within 72 hours of their initial surgery and as needed afterwards, and (3) via phone on in-clinic (per patient preference) on an at least monthly basis and/or as needed for 12 weeks following surgery.
Surgeon-palliative care team co management: Surgeon-palliative care team co management includes surgeon alone care and palliative care specialist team
|
Surgeon Alone Management
n=145 Participants
The surgeon and surgical team will manage symptoms, psychosocial support, and prognostic related communication. The surgeon and surgical team care for the patient and their family both prior to and following surgery. The surgeon team is given guidelines published by the National Cancer Coalition Network as to when palliative care specialist consultation is recommended
Surgeon team alone management: The surgeon and surgical team will manage
|
|---|---|---|
|
Patient Mood Symptoms Assessment 12 Weeks After Surgery
Physical health
|
-0.50 z-score
Standard Deviation 1.01
|
-0.43 z-score
Standard Deviation 0.89
|
|
Patient Mood Symptoms Assessment 12 Weeks After Surgery
Mental health
|
-0.07 z-score
Standard Deviation 0.84
|
-0.07 z-score
Standard Deviation 0.87
|
SECONDARY outcome
Timeframe: Up to 12 weeks after surgeryPopulation: data were not collected for this outcome measure
Patient will be assessed for twelve symptoms (pain, tiredness, nausea, depression, anxiety, drowsiness, appetite, well-being, shortness of breath, constipation, financial distress, and spiritual pain) using a modified Edmonton Symptom Assessment System (ESAS). Each symptom is rated from 0 to 10 on a numerical scale, 0 meaning that the symptom is absent and 10 that it is of the worst possible severity.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Up to 12 weeks after surgeryPopulation: Participants with available survey data
Patient spiritual symptoms assessment will be assessed using Functional Assessment of Chronic Illness Therapy - Spiritual Well-being (FACIT-Sp-12); 12 item Spiritual Well-being Scale. Score range: 0 to 48; higher scores correspond to better spiritual well-being.
Outcome measures
| Measure |
Surgeon-palliative Care Team Co-management
n=151 Participants
In the Surgeon-palliative care team co-management arm, all patients receive the surgical care of surgeon alone management, which includes surgeon and the surgical team. In addition to this surgeon alone care, palliative care will also be provided by a specialist team. For patients in this arm, patients and/or family members will be seen by the palliative care team: (1) in an outpatient setting prior to surgery, (2) in the hospital within 72 hours of their initial surgery and as needed afterwards, and (3) via phone on in-clinic (per patient preference) on an at least monthly basis and/or as needed for 12 weeks following surgery.
Surgeon-palliative care team co management: Surgeon-palliative care team co management includes surgeon alone care and palliative care specialist team
|
Surgeon Alone Management
n=146 Participants
The surgeon and surgical team will manage symptoms, psychosocial support, and prognostic related communication. The surgeon and surgical team care for the patient and their family both prior to and following surgery. The surgeon team is given guidelines published by the National Cancer Coalition Network as to when palliative care specialist consultation is recommended
Surgeon team alone management: The surgeon and surgical team will manage
|
|---|---|---|
|
Patient Spiritual Assessment 12 Weeks After Surgery
|
35.90 score on a scale
Standard Deviation 9.40
|
35.89 score on a scale
Standard Deviation 8.92
|
SECONDARY outcome
Timeframe: Up to 12 weeks after surgeryPopulation: Participants who completed the respective survey questions are included in the analysis.
Patient prognostic awareness is determined based on the Cancer Care Outcomes Research \& Surveillance Consortium (CANCORS) study prognostic awareness questions before and after surgery. To each question, the respondent replied Very likely, Somewhat likely, A little likely, Not at all likely, or Don't know.
Outcome measures
| Measure |
Surgeon-palliative Care Team Co-management
n=137 Participants
In the Surgeon-palliative care team co-management arm, all patients receive the surgical care of surgeon alone management, which includes surgeon and the surgical team. In addition to this surgeon alone care, palliative care will also be provided by a specialist team. For patients in this arm, patients and/or family members will be seen by the palliative care team: (1) in an outpatient setting prior to surgery, (2) in the hospital within 72 hours of their initial surgery and as needed afterwards, and (3) via phone on in-clinic (per patient preference) on an at least monthly basis and/or as needed for 12 weeks following surgery.
Surgeon-palliative care team co management: Surgeon-palliative care team co management includes surgeon alone care and palliative care specialist team
|
Surgeon Alone Management
n=101 Participants
The surgeon and surgical team will manage symptoms, psychosocial support, and prognostic related communication. The surgeon and surgical team care for the patient and their family both prior to and following surgery. The surgeon team is given guidelines published by the National Cancer Coalition Network as to when palliative care specialist consultation is recommended
Surgeon team alone management: The surgeon and surgical team will manage
|
|---|---|---|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Help you live longer? (Very likely)
|
70 Participants
|
80 Participants
|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Help you live longer? (Somewhat likely)
|
13 Participants
|
11 Participants
|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Cure your cancer? (Not at all likely)
|
14 Participants
|
10 Participants
|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Cure your cancer? (Don't know)
|
11 Participants
|
5 Participants
|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Help you with problems you were having because of your cancer? (Very likely)
|
54 Participants
|
57 Participants
|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Help you live longer? (A little likely)
|
6 Participants
|
3 Participants
|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Help you live longer? (Not at all likely)
|
6 Participants
|
3 Participants
|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Help you live longer? (Don't know)
|
6 Participants
|
3 Participants
|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Cure your cancer? (Somewhat likely)
|
27 Participants
|
25 Participants
|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Cure your cancer? (Very likely)
|
39 Participants
|
51 Participants
|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Cure your cancer? (A little likely)
|
10 Participants
|
10 Participants
|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Help you with problems you were having because of your cancer? (Somewhat likely)
|
54 Participants
|
17 Participants
|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Help you with problems you were having because of your cancer? (A little likely)
|
6 Participants
|
8 Participants
|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Help you with problems you were having because of your cancer? (Not at all likely)
|
12 Participants
|
10 Participants
|
|
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Help you with problems you were having because of your cancer? (Don't know)
|
11 Participants
|
9 Participants
|
SECONDARY outcome
Timeframe: Up to 6 months after surgeryNumber of surviving patients in both arms will be reported at end of 6 months.
Outcome measures
| Measure |
Surgeon-palliative Care Team Co-management
n=171 Participants
In the Surgeon-palliative care team co-management arm, all patients receive the surgical care of surgeon alone management, which includes surgeon and the surgical team. In addition to this surgeon alone care, palliative care will also be provided by a specialist team. For patients in this arm, patients and/or family members will be seen by the palliative care team: (1) in an outpatient setting prior to surgery, (2) in the hospital within 72 hours of their initial surgery and as needed afterwards, and (3) via phone on in-clinic (per patient preference) on an at least monthly basis and/or as needed for 12 weeks following surgery.
Surgeon-palliative care team co management: Surgeon-palliative care team co management includes surgeon alone care and palliative care specialist team
|
Surgeon Alone Management
n=162 Participants
The surgeon and surgical team will manage symptoms, psychosocial support, and prognostic related communication. The surgeon and surgical team care for the patient and their family both prior to and following surgery. The surgeon team is given guidelines published by the National Cancer Coalition Network as to when palliative care specialist consultation is recommended
Surgeon team alone management: The surgeon and surgical team will manage
|
|---|---|---|
|
Patient Mortality up to 6 Months
Died
|
7 Participants
|
6 Participants
|
|
Patient Mortality up to 6 Months
Alive
|
164 Participants
|
156 Participants
|
SECONDARY outcome
Timeframe: Up to 12 weeks after surgeryPopulation: Participants who completed the survey are included in the analysis
Caregiver symptoms were measured using the Patient-Reported Outcomes Measurement Information System (PROMIS-29) version 2.1. PROMIS-29 survey questions were each rated on a 5-point Likert scale (range: 1 to 5, higher scores represent a better outcome). Item responses were converted to PROMIS T-scores per the PROMIS scoring manual (population mean = 50, SD = 10). T-scores were then converted to standardized z-scores using the formula (T-score - 50) / 10. Composite physical and mental health z-scores were calculated using weighted domain z-scores. Higher z-scores indicate better outcomes, and negative z-scores indicate scores below the population reference mean.
Outcome measures
| Measure |
Surgeon-palliative Care Team Co-management
n=37 Participants
In the Surgeon-palliative care team co-management arm, all patients receive the surgical care of surgeon alone management, which includes surgeon and the surgical team. In addition to this surgeon alone care, palliative care will also be provided by a specialist team. For patients in this arm, patients and/or family members will be seen by the palliative care team: (1) in an outpatient setting prior to surgery, (2) in the hospital within 72 hours of their initial surgery and as needed afterwards, and (3) via phone on in-clinic (per patient preference) on an at least monthly basis and/or as needed for 12 weeks following surgery.
Surgeon-palliative care team co management: Surgeon-palliative care team co management includes surgeon alone care and palliative care specialist team
|
Surgeon Alone Management
n=40 Participants
The surgeon and surgical team will manage symptoms, psychosocial support, and prognostic related communication. The surgeon and surgical team care for the patient and their family both prior to and following surgery. The surgeon team is given guidelines published by the National Cancer Coalition Network as to when palliative care specialist consultation is recommended
Surgeon team alone management: The surgeon and surgical team will manage
|
|---|---|---|
|
Caregiver Mood Symptom Assessment at 12 Weeks After Surgery
Mental health
|
0.27 z-score
Standard Deviation 0.94
|
0.23 z-score
Standard Deviation 0.64
|
|
Caregiver Mood Symptom Assessment at 12 Weeks After Surgery
Physical health
|
0.32 z-score
Standard Deviation 0.92
|
0.33 z-score
Standard Deviation 0.63
|
SECONDARY outcome
Timeframe: Up to 12 weeks after surgeryThe Zarit Caregiver Burden Scale (ZBI-12) is a 12-item measure of caregiver burden caring for a patient with chronic illness, focusing on the emotional, physical, and social aspects of caregiving. The questions are ranked on a 5-point Likert scale. The total score is 0-48 a higher score indicates a worse outcome (more caregiver burden).
Outcome measures
| Measure |
Surgeon-palliative Care Team Co-management
n=37 Participants
In the Surgeon-palliative care team co-management arm, all patients receive the surgical care of surgeon alone management, which includes surgeon and the surgical team. In addition to this surgeon alone care, palliative care will also be provided by a specialist team. For patients in this arm, patients and/or family members will be seen by the palliative care team: (1) in an outpatient setting prior to surgery, (2) in the hospital within 72 hours of their initial surgery and as needed afterwards, and (3) via phone on in-clinic (per patient preference) on an at least monthly basis and/or as needed for 12 weeks following surgery.
Surgeon-palliative care team co management: Surgeon-palliative care team co management includes surgeon alone care and palliative care specialist team
|
Surgeon Alone Management
n=40 Participants
The surgeon and surgical team will manage symptoms, psychosocial support, and prognostic related communication. The surgeon and surgical team care for the patient and their family both prior to and following surgery. The surgeon team is given guidelines published by the National Cancer Coalition Network as to when palliative care specialist consultation is recommended
Surgeon team alone management: The surgeon and surgical team will manage
|
|---|---|---|
|
Caregiver Burden Measurement 12 Weeks After Surgery
|
6.50 score on a scale
Interval 4.0 to 12.5
|
11.50 score on a scale
Interval 0.75 to 15.75
|
SECONDARY outcome
Timeframe: Up to 12 weeks after surgeryPopulation: Participants with available survey data
Caregiver spiritual symptoms assessment will be assessed using Functional Assessment of Chronic Illness Therapy - Spiritual Well-being (FACIT-Sp-12); 12 item Spiritual Well-being Scale (score range: 0 to 48; higher scores correspond to better spiritual well-being).
Outcome measures
| Measure |
Surgeon-palliative Care Team Co-management
n=37 Participants
In the Surgeon-palliative care team co-management arm, all patients receive the surgical care of surgeon alone management, which includes surgeon and the surgical team. In addition to this surgeon alone care, palliative care will also be provided by a specialist team. For patients in this arm, patients and/or family members will be seen by the palliative care team: (1) in an outpatient setting prior to surgery, (2) in the hospital within 72 hours of their initial surgery and as needed afterwards, and (3) via phone on in-clinic (per patient preference) on an at least monthly basis and/or as needed for 12 weeks following surgery.
Surgeon-palliative care team co management: Surgeon-palliative care team co management includes surgeon alone care and palliative care specialist team
|
Surgeon Alone Management
n=40 Participants
The surgeon and surgical team will manage symptoms, psychosocial support, and prognostic related communication. The surgeon and surgical team care for the patient and their family both prior to and following surgery. The surgeon team is given guidelines published by the National Cancer Coalition Network as to when palliative care specialist consultation is recommended
Surgeon team alone management: The surgeon and surgical team will manage
|
|---|---|---|
|
Caregiver Spiritual Measure at 12 Weeks
|
34.06 score on a scale
Standard Deviation 8.34
|
33.72 score on a scale
Standard Deviation 7.55
|
SECONDARY outcome
Timeframe: Up to 12 weeks after surgeryPopulation: Participants who completed the respective survey questions are included in the analysis.
Caregiver prognostic awareness was determined based on the Cancer Care Outcomes Research \& Surveillance Consortium (CANCORS) study prognostic awareness questions before and after surgery. To each question, the respondent replied Very likely, Somewhat likely, A little likely, Not at all likely, or Don't know.
Outcome measures
| Measure |
Surgeon-palliative Care Team Co-management
n=101 Participants
In the Surgeon-palliative care team co-management arm, all patients receive the surgical care of surgeon alone management, which includes surgeon and the surgical team. In addition to this surgeon alone care, palliative care will also be provided by a specialist team. For patients in this arm, patients and/or family members will be seen by the palliative care team: (1) in an outpatient setting prior to surgery, (2) in the hospital within 72 hours of their initial surgery and as needed afterwards, and (3) via phone on in-clinic (per patient preference) on an at least monthly basis and/or as needed for 12 weeks following surgery.
Surgeon-palliative care team co management: Surgeon-palliative care team co management includes surgeon alone care and palliative care specialist team
|
Surgeon Alone Management
n=100 Participants
The surgeon and surgical team will manage symptoms, psychosocial support, and prognostic related communication. The surgeon and surgical team care for the patient and their family both prior to and following surgery. The surgeon team is given guidelines published by the National Cancer Coalition Network as to when palliative care specialist consultation is recommended
Surgeon team alone management: The surgeon and surgical team will manage
|
|---|---|---|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Help your loved one live longer? (Very Likely)
|
77 Participants
|
83 Participants
|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Cure your loved one's cancer? (A little likely)
|
8 Participants
|
10 Participants
|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Help your loved one live longer? (Somewhat likely)
|
12 Participants
|
7 Participants
|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Help your loved one live longer? (A little likely)
|
0 Participants
|
3 Participants
|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Help your loved one live longer? (Not at all likely)
|
8 Participants
|
3 Participants
|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Help your loved one live longer? (Don't know)
|
4 Participants
|
3 Participants
|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Cure your loved one's cancer? (Very likely)
|
39 Participants
|
33 Participants
|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Cure your loved one's cancer? (Somewhat likely)
|
23 Participants
|
37 Participants
|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Cure your loved one's cancer? (Not at all likely)
|
19 Participants
|
10 Participants
|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Cure your loved one's cancer? (Don't know)
|
12 Participants
|
10 Participants
|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Help your loved one with problems due to the cancer? (Very likely)
|
58 Participants
|
50 Participants
|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Help your loved one with problems due to the cancer? (Somewhat likely)
|
15 Participants
|
23 Participants
|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Help your loved one with problems due to the cancer? (A little likely)
|
4 Participants
|
7 Participants
|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Help your loved one with problems due to the cancer? (Not at all likely)
|
12 Participants
|
10 Participants
|
|
Caregiver Prognostic Awareness Assessment at 12 Weeks
Awareness after: Help your loved one with problems due to the cancer? (Don't know)
|
12 Participants
|
10 Participants
|
Adverse Events
Surgeon-palliative Care Team Co-management
Serious events: 0 serious events
Other events: 0 other events
Deaths: 7 deaths
Surgeon Alone Management
Serious events: 0 serious events
Other events: 0 other events
Deaths: 6 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place